Healthcare Provider Details

I. General information

NPI: 1932826013
Provider Name (Legal Business Name): BARBARA DILLON CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2022
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 W 6TH ST
WILMINGTON DE
19805-1828
US

IV. Provider business mailing address

PO BOX 7411009
CHICAGO IL
60674-3009
US

V. Phone/Fax

Practice location:
  • Phone: 872-231-3162
  • Fax: 312-635-0050
Mailing address:
  • Phone: 872-231-3162
  • Fax: 312-635-0050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberLP0011094
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: